<?php
/* @var $this Efectores1Controller */
/* @var $model Efectores1 */
/* @var $form CActiveForm */
?>

<div class="form">

<?php $form=$this->beginWidget('CActiveForm', array(
	'id'=>'efectores1-form',
	// Please note: When you enable ajax validation, make sure the corresponding
	// controller action is handling ajax validation correctly.
	// There is a call to performAjaxValidation() commented in generated controller code.
	// See class documentation of CActiveForm for details on this.
	'enableAjaxValidation'=>false,
)); ?>

	<p class="note">Fields with <span class="required">*</span> are required.</p>

	<?php echo $form->errorSummary($model); ?>

	<div class="row">
		<?php echo $form->labelEx($model,'codigo_sissa'); ?>
		<?php echo $form->textField($model,'codigo_sissa',array('size'=>50,'maxlength'=>50)); ?>
		<?php echo $form->error($model,'codigo_sissa'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cuie'); ?>
		<?php echo $form->textField($model,'cuie',array('size'=>25,'maxlength'=>25)); ?>
		<?php echo $form->error($model,'cuie'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'nombre'); ?>
		<?php echo $form->textField($model,'nombre',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'nombre'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'denominacionLegal'); ?>
		<?php echo $form->textField($model,'denominacionLegal',array('size'=>60,'maxlength'=>100)); ?>
		<?php echo $form->error($model,'denominacionLegal'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'domicilio'); ?>
		<?php echo $form->textField($model,'domicilio',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'domicilio'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cod_departamento'); ?>
		<?php echo $form->textField($model,'cod_departamento'); ?>
		<?php echo $form->error($model,'cod_departamento'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cod_localidad'); ?>
		<?php echo $form->textField($model,'cod_localidad'); ?>
		<?php echo $form->error($model,'cod_localidad'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cod_postal'); ?>
		<?php echo $form->textField($model,'cod_postal',array('size'=>25,'maxlength'=>25)); ?>
		<?php echo $form->error($model,'cod_postal'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'ciudad'); ?>
		<?php echo $form->textField($model,'ciudad',array('size'=>60,'maxlength'=>100)); ?>
		<?php echo $form->error($model,'ciudad'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'provincia'); ?>
		<?php echo $form->textField($model,'provincia'); ?>
		<?php echo $form->error($model,'provincia'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'referente'); ?>
		<?php echo $form->textField($model,'referente',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'referente'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'telefono'); ?>
		<?php echo $form->textField($model,'telefono'); ?>
		<?php echo $form->error($model,'telefono'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'email'); ?>
		<?php echo $form->textField($model,'email',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'email'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'tipoefector'); ?>
		<?php echo $form->textField($model,'tipoefector',array('size'=>50,'maxlength'=>50)); ?>
		<?php echo $form->error($model,'tipoefector'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'horario_atencion'); ?>
		<?php echo $form->textField($model,'horario_atencion',array('size'=>60,'maxlength'=>100)); ?>
		<?php echo $form->error($model,'horario_atencion'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'pos_s'); ?>
		<?php echo $form->textField($model,'pos_s',array('size'=>50,'maxlength'=>50)); ?>
		<?php echo $form->error($model,'pos_s'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'pos_w'); ?>
		<?php echo $form->textField($model,'pos_w',array('size'=>50,'maxlength'=>50)); ?>
		<?php echo $form->error($model,'pos_w'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'altura'); ?>
		<?php echo $form->textField($model,'altura'); ?>
		<?php echo $form->error($model,'altura'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'rural'); ?>
		<?php echo $form->textField($model,'rural',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'rural'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cant_camasInternacion'); ?>
		<?php echo $form->textField($model,'cant_camasInternacion'); ?>
		<?php echo $form->error($model,'cant_camasInternacion'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cant_ambientes'); ?>
		<?php echo $form->textField($model,'cant_ambientes'); ?>
		<?php echo $form->error($model,'cant_ambientes'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'CICS'); ?>
		<?php echo $form->textField($model,'CICS',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'CICS'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'categorizacion'); ?>
		<?php echo $form->textField($model,'categorizacion',array('size'=>50,'maxlength'=>50)); ?>
		<?php echo $form->error($model,'categorizacion'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'dependencia_adm'); ?>
		<?php echo $form->textField($model,'dependencia_adm',array('size'=>10,'maxlength'=>10)); ?>
		<?php echo $form->error($model,'dependencia_adm'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'dependencia_sanitaria'); ?>
		<?php echo $form->textField($model,'dependencia_sanitaria',array('size'=>50,'maxlength'=>50)); ?>
		<?php echo $form->error($model,'dependencia_sanitaria'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cod_provincial_efector'); ?>
		<?php echo $form->textField($model,'cod_provincial_efector',array('size'=>50,'maxlength'=>50)); ?>
		<?php echo $form->error($model,'cod_provincial_efector'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion'); ?>
		<?php echo $form->textField($model,'comp_gestion',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'comp_gestion'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion_numero'); ?>
		<?php echo $form->textField($model,'comp_gestion_numero'); ?>
		<?php echo $form->error($model,'comp_gestion_numero'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion_firmante'); ?>
		<?php echo $form->textField($model,'comp_gestion_firmante',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'comp_gestion_firmante'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion_fecha_suscripcion'); ?>
		<?php echo $form->textField($model,'comp_gestion_fecha_suscripcion'); ?>
		<?php echo $form->error($model,'comp_gestion_fecha_suscripcion'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion_fecha_inicio'); ?>
		<?php echo $form->textField($model,'comp_gestion_fecha_inicio'); ?>
		<?php echo $form->error($model,'comp_gestion_fecha_inicio'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion_fecha_fin'); ?>
		<?php echo $form->textField($model,'comp_gestion_fecha_fin'); ?>
		<?php echo $form->error($model,'comp_gestion_fecha_fin'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion_pagoindirecto'); ?>
		<?php echo $form->textField($model,'comp_gestion_pagoindirecto',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'comp_gestion_pagoindirecto'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'convAdm_nombreTercero'); ?>
		<?php echo $form->textField($model,'convAdm_nombreTercero',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'convAdm_nombreTercero'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'convAdm_codigotercero'); ?>
		<?php echo $form->textField($model,'convAdm_codigotercero',array('size'=>60,'maxlength'=>250)); ?>
		<?php echo $form->error($model,'convAdm_codigotercero'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'convAdmin_numero'); ?>
		<?php echo $form->textField($model,'convAdmin_numero'); ?>
		<?php echo $form->error($model,'convAdmin_numero'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'convAdmin_firmante'); ?>
		<?php echo $form->textField($model,'convAdmin_firmante',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'convAdmin_firmante'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'convAdmin_fecha_suscripcion'); ?>
		<?php echo $form->textField($model,'convAdmin_fecha_suscripcion'); ?>
		<?php echo $form->error($model,'convAdmin_fecha_suscripcion'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'convAdmin_fecha_inicio'); ?>
		<?php echo $form->textField($model,'convAdmin_fecha_inicio'); ?>
		<?php echo $form->error($model,'convAdmin_fecha_inicio'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'convAdmin_fecha_fin'); ?>
		<?php echo $form->textField($model,'convAdmin_fecha_fin'); ?>
		<?php echo $form->error($model,'convAdmin_fecha_fin'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'novedad'); ?>
		<?php echo $form->textField($model,'novedad'); ?>
		<?php echo $form->error($model,'novedad'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'integrante'); ?>
		<?php echo $form->textField($model,'integrante',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'integrante'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'reclamo'); ?>
		<?php echo $form->textField($model,'reclamo',array('size'=>60,'maxlength'=>100)); ?>
		<?php echo $form->error($model,'reclamo'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'observaciones'); ?>
		<?php echo $form->textField($model,'observaciones',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'observaciones'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'observacionesDetalle'); ?>
		<?php echo $form->textField($model,'observacionesDetalle',array('size'=>60,'maxlength'=>150)); ?>
		<?php echo $form->error($model,'observacionesDetalle'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'alto_impacto'); ?>
		<?php echo $form->textField($model,'alto_impacto',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'alto_impacto'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'perinatal_ac'); ?>
		<?php echo $form->textField($model,'perinatal_ac',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'perinatal_ac'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'addenda_perinatal'); ?>
		<?php echo $form->textField($model,'addenda_perinatal',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'addenda_perinatal'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'fecha_adendda_perinatal'); ?>
		<?php echo $form->textField($model,'fecha_adendda_perinatal'); ?>
		<?php echo $form->error($model,'fecha_adendda_perinatal'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'comp_gestion_sumar'); ?>
		<?php echo $form->textField($model,'comp_gestion_sumar',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'comp_gestion_sumar'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'id_areaprograma'); ?>
		<?php echo $form->textField($model,'id_areaprograma'); ?>
		<?php echo $form->error($model,'id_areaprograma'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'cbu'); ?>
		<?php echo $form->textField($model,'cbu',array('size'=>60,'maxlength'=>200)); ?>
		<?php echo $form->error($model,'cbu'); ?>
	</div>

	<div class="row">
		<?php echo $form->labelEx($model,'es_area_programa'); ?>
		<?php echo $form->textField($model,'es_area_programa',array('size'=>1,'maxlength'=>1)); ?>
		<?php echo $form->error($model,'es_area_programa'); ?>
	</div>

	<div class="row buttons">
		<?php echo CHtml::submitButton($model->isNewRecord ? 'Create' : 'Save'); ?>
	</div>

<?php $this->endWidget(); ?>

</div><!-- form -->